在心房的疾病感知形状和心理和主观的身体症状
Minjie Zheng1, Xinxin Shi1, Zhijuan Xie1
1Department of Medical Psychology, Peking University People's Hospital, Beijing, China.
Journal of psychosomatic research
|February 6, 2026
概括
在心房动 (AF) 患者中确定了两种疾病感知概况:"反应性最小化"和"症状无助". 这些概况与不同的心理和症状负担结果相关,为个性化患者管理提供信息.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 健康 结果 研究 研究 结果
背景情况:
- 疾病的感知显著影响患者在心房动 (AF) 的结果.
- 了解这些感知对于有效的AF管理至关重要.
- 以前的研究表明,患者如何感知自己的疾病以及他们的心理和身体反应之间存在联系.
研究的目的:
- 在被诊断为心房动的患者中识别不同的疾病感知概况.
- 调查这些已识别的个人资料与心理/身体健康结果之间的关联.
- 探索以人为中心的方法在管理AF的潜力.
主要方法:
- 隐形形状分析 (LPA) 用于将150名AF患者分类为不同的疾病感知群体.
- 评估了模型匹配指数,以确定最佳的配置文件数量.
- 后勤回归分析检查了个人资料和焦虑 (GAD-7),抑郁 (PHQ-9) 和AF严重程度 (AFSS) 等结果之间的关系.
主要成果:
- 两个类型的模型出现了:"反应-最小化" (49%) 和"症状-无助" (51%).
- "症状-无助"概况独立地与更高的AF症状负担 (AFSS负担) 相关.
- "反应性最小化"配置文件显示与较高的抑郁症状 (PHQ-9) 有关.
结论:
- 以人为中心的疾病感知概况确定了AF患者的两个关键模式.
- 这些特征与抑郁症状和症状负担相关.
- 研究结果支持根据患者对疾病的看法,为AF患者量身定制心理和临床管理策略.
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